page_title: American Health Care Act of 2017
section_title: Estimated impact of the Republican AHCA and BCRA
hierarchical_section_title: American Health Care Act of 2017 / Estimated impact of the Republican AHCA and BCRA
caption_attribution_description: English: Impact on the budget deficit of the Republican healthcare bills (AHCA and BCRA).
context_page_description: The American Health Care Act of 2017 was a bill in the 115th United States Congress. The bill, which was passed by the United States House of Representatives but not by the United States Senate, would have partially repealed the Patient Protection and Affordable Care Act.
  Republican Party leaders had campaigned on the repeal of the ACA since its passage in 2010, and the 2016 elections gave Republicans unified control of Congress and the presidency for the first time since the ACA came into effect. Upon the start of the 115th Congress, Congressional Republicans sought to pass a partial repeal of the ACA using the reconciliation process, which allows legislation to bypass the Senate filibuster and pass with a simple majority in the Senate. With the support of President Donald Trump, House Republicans introduced the AHCA in early 2017, and the bill passed the House in a close vote on May 4, 2017. All House Democrats, along with several members of the centrist Tuesday Group and some other House Republicans, voted against the AHCA.
context_section_description: The nonpartisan Congressional Budget Office has evaluated ("scored") the AHCA (initial and revised) and BCRA with respect to health insurance coverage, impact on the annual budget deficit, cost of insurance, and quality of insurance (i.e., the actuarial value, or percent of costs a given policy is expected to cover). Other groups have evaluated some of these elements, as well as the distributional impact of the tax changes by income level and impact on job creation. The results of these analyses are as follows:
caption: Impact on the budget deficit of the Republican healthcare bills (AHCA and BCRA). Cuts to Medicaid more than offset tax cuts, resulting in moderate deficit reduction.
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